Miles Ladenheim, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD041803E Issued in PA

Practice address

8& W Girard Ave
Philadelphia, PA 19123-1708

Phone

(215) 787-2000

Fax

(215) 787-6990

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Behavioral Wellness Center at Girard

  • Methadone Clinic
  • Philadelphia, PA
  • NPI 1598798928
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1972504199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8& W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231708",
            "telephone_number": "215-787-2000",
            "fax_number": "215-787-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8& W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231708",
            "telephone_number": "215-787-2000",
            "fax_number": "215-787-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADENHEIM",
        "first_name": "MILES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD041803E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBH",
            "identifier": "117012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorottya Ilona Laczko, MD, PHD
• Asma Akbar Ladak, MD
• Shyam Ladani
• Nadine Ladd
• Lawrence J Ladden, PHD
• Julie Laderberg, LCSW
• Lauren Laderman, MD
• Joseph Benigno Ladines-Lim, MD
• Ladipo Group Psychotherapy for Our Community LLC
• Tonya Ladipo, LCSW

• Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.